Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients

Background: Patients who are diagnosed with alcohol-dependent syndrome (ADS) are shown to have neuropsychological deficits, especially executive function (EF) deficits. Among the EFs, decision-making is one such function which has consistently been shown to be impaired in people who are dependent on...

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Main Authors: B N Roopesh, Manoj K Sharma, Saswatika Tripathy, Vivek Benegal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Industrial Psychiatry Journal
Subjects:
Online Access:http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2017;volume=26;issue=1;spage=39;epage=44;aulast=Roopesh
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author B N Roopesh
Manoj K Sharma
Saswatika Tripathy
Vivek Benegal
author_facet B N Roopesh
Manoj K Sharma
Saswatika Tripathy
Vivek Benegal
author_sort B N Roopesh
collection DOAJ
description Background: Patients who are diagnosed with alcohol-dependent syndrome (ADS) are shown to have neuropsychological deficits, especially executive function (EF) deficits. Among the EFs, decision-making is one such function which has consistently been shown to be impaired in people who are dependent on alcohol, compared to controls. Decision-making in this population is usually assessed with gambling-type tasks. However, some of these tasks are ambiguous, work on chance factors, rarely match with real-life gambling situations, and/or involve nonconscious mechanisms. Materials and Methods: The current study compared 26 male patients with ADS (P-ADS) with equal number of their nonalcohol-dependent male siblings on sensation seeking and explicit gambling task (EGT). EGT is similar to the Iowa gambling task in administration, but varies from it as it involves a single outcome and provides unambiguous, explicit, and continuous feedback for the participants. Results and Conclusion: The results did not show any significant relationship between decision-making variables and sensation seeking. However, despite unambiguous, explicit, and continuous feedback, patients showed significantly poor decision-making as compared to the siblings of the P-ADS group. This study throws light on why people who are addicted to alcohol have difficulties in decision-making, despite knowing the adverse effects.
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spelling doaj.art-1097f9745bef4df8ac6fe7c106a8b0fd2022-12-22T03:22:19ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952017-01-01261394410.4103/ipj.ipj_82_16Failure to utilize feedback during explicit decision-making task in alcohol-dependent patientsB N RoopeshManoj K SharmaSaswatika TripathyVivek BenegalBackground: Patients who are diagnosed with alcohol-dependent syndrome (ADS) are shown to have neuropsychological deficits, especially executive function (EF) deficits. Among the EFs, decision-making is one such function which has consistently been shown to be impaired in people who are dependent on alcohol, compared to controls. Decision-making in this population is usually assessed with gambling-type tasks. However, some of these tasks are ambiguous, work on chance factors, rarely match with real-life gambling situations, and/or involve nonconscious mechanisms. Materials and Methods: The current study compared 26 male patients with ADS (P-ADS) with equal number of their nonalcohol-dependent male siblings on sensation seeking and explicit gambling task (EGT). EGT is similar to the Iowa gambling task in administration, but varies from it as it involves a single outcome and provides unambiguous, explicit, and continuous feedback for the participants. Results and Conclusion: The results did not show any significant relationship between decision-making variables and sensation seeking. However, despite unambiguous, explicit, and continuous feedback, patients showed significantly poor decision-making as compared to the siblings of the P-ADS group. This study throws light on why people who are addicted to alcohol have difficulties in decision-making, despite knowing the adverse effects.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2017;volume=26;issue=1;spage=39;epage=44;aulast=RoopeshAlcohol-dependent syndromeexplicit gambling taskgambling paradigmsiblings of alcohol dependents
spellingShingle B N Roopesh
Manoj K Sharma
Saswatika Tripathy
Vivek Benegal
Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
Industrial Psychiatry Journal
Alcohol-dependent syndrome
explicit gambling task
gambling paradigm
siblings of alcohol dependents
title Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
title_full Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
title_fullStr Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
title_full_unstemmed Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
title_short Failure to utilize feedback during explicit decision-making task in alcohol-dependent patients
title_sort failure to utilize feedback during explicit decision making task in alcohol dependent patients
topic Alcohol-dependent syndrome
explicit gambling task
gambling paradigm
siblings of alcohol dependents
url http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2017;volume=26;issue=1;spage=39;epage=44;aulast=Roopesh
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AT vivekbenegal failuretoutilizefeedbackduringexplicitdecisionmakingtaskinalcoholdependentpatients